A nurse is reinforcing teaching with a client prescribed betamethasone for chronic osteoarthritis. Which of the following statements by the client indicates understanding of the teaching?
"I can experience harmless, black-colored stools while taking this medication."
"I will eat a low-potassium diet while taking this medication."
"I will protect my adrenal glands by taking this medication every other day."
"I can achieve the best effectiveness by taking this medication before bedtime."
The Correct Answer is C
Choice A reason: Black-colored stools can indicate gastrointestinal bleeding, which is a potential side effect of corticosteroids like betamethasone. It is not considered harmless and should be reported to the healthcare provider immediately.
Choice B reason: A low-potassium diet is not specifically required for clients taking betamethasone. Corticosteroids can cause potassium loss, so it is important to monitor potassium levels, but not necessarily restrict intake unless directed by the healthcare provider.
Choice C reason: The correct answer is c because taking corticosteroids like betamethasone every other day can help reduce the risk of adrenal suppression, a common side effect of long-term corticosteroid use. This dosing schedule allows the adrenal glands to recover and maintain their function.
Choice D reason: Taking betamethasone before bedtime is not specifically recommended for its effectiveness. The dosing schedule should be based on the healthcare provider's instructions and tailored to the client's condition and response to the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Resting before meals helps reduce fatigue and ensures that the client has the energy to eat, which is important for maintaining nutrition in COPD patients.
Choice B reason: The correct answer is b because drinking plenty of beverages with meals can cause the client to feel full too quickly, reducing their intake of nutrient-dense foods. It is better to drink fluids between meals to ensure adequate nutrition.
Choice C reason: Eating five or six small meals each day helps prevent overeating and reduces the work of breathing, making it easier for COPD clients to maintain adequate nutrition without feeling overly full or short of breath.
Choice D reason: Increasing protein intake is important for COPD clients to maintain muscle mass and strength, which are crucial for respiratory function and overall health.
Correct Answer is B
Explanation
Choice A reason: Limiting fluid intake is not an appropriate intervention for labyrinthitis. Adequate hydration is important for overall health and should be maintained.
Choice B reason: The correct answer is b because labyrinthitis can affect the vestibular system, leading to dizziness and vertigo. Monitoring the client’s cardinal fields of vision helps assess for nystagmus, which is a common symptom of vestibular disorders.
Choice C reason: Encouraging ambulation is not advisable for clients with labyrinthitis, as it can increase the risk of falls and injury due to dizziness and imbalance.
Choice D reason: Ensuring the room is brightly lit is not necessary for the management of labyrinthitis and may not provide any therapeutic benefit.
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